Clinical Nutrition in Gastrointestinal Disease

Alan Buchman, MD, MSPH

Chapter 45: Refeeding Syndrome (continued)

Le-Chu Su, MD, PhD; Laura E. Matarese, MS, RD, LDN, FADA, CNSD

Malnutrition has an adverse impact on morbidity and mortality in hospitalized patients. The incidence of hospital malnutrition ranges from 30% to 50%,1-3 yet is often unrecognized by healthcare professionals. Refeeding syndrome, resulting from the overzealous resuscitation of the severely malnourished patient is also unrecognized. This can result in sudden decompensation and death that may have been attributed to electrolyte, hemodynamic, and septic derangements. The exact prevalence of refeeding syndrome is unknown because it is generally underdiagnosed. The syndrome itself has not been…